HOW DOES MY ORGANIZATION BENEFIT?

Improve contract opportunities. NCQA-Accredited health plans receive automatic credit (i.e., 100% compliance) toward their own Accreditation Survey when they work with Certified HIP vendors. This results in less administrative responsibilities.

A VARIETY OF OPTIONS

NCQA’s Health Information Product Certification program evaluates specific functions based on the health information product provided. Organizations may choose to be evaluated in one or more “Certification Options.”

An organization may seek Certification in any or all the following evaluation options:

Pharmacy Benefit Information. Provides eligible individuals with the information they need to understand and use their pharmacy benefits.

Health Information Line. Operates a health information line to assist eligible individuals with wellness and prevention.

Support for Healthy Living. Provides access to wellness and prevention services.